Transforming Western Democracy In Southeast Asia: The Case Of Lanao Del Sur, The Philippines

The question “why transplanted Western democracy in Southeast Asia could not thrive as intended” has yet to be answered. A possible answer to the question could be found in the dynamics of cultural encounter between the traditional Southeast Asian society and Western democracy. The case of the Muslim province of Lanao del Sur in the Philippines provides us an understanding how Western democratic institutions were translated and localised. The adaptation of Western democracy meant to restructure the political boundaries and especially for the Muslim Maranao to integrate into the bigger Christian dominated polity. Although the system of authority changed from the traditional to the so-called legal one, the traditional conception of social relations and authority still shape the Maranao politics. Western democratic institutions are observed only superfcially. And the transformed Western democracy caused conflicts and armed struggle among the locals

Seasonal estimates of nitrogen fixation by Alnus rubra and Ceanothus species in western Oregon forest ecosystems

Two case studies of 5 ecosystems were used to examine the nitrogen fixation rate of red alder (Alnus rubra Bong.), varnishleaf (Ceanothus velutinus var. laevigatus (Hook.) T. & G.), deerbrush (C. i ntegerrimus H. & A.), and snowbrush (C. velutinus var. velutinus Dougl. Ex Hook). The first case study assayed nitrogen fixation of 2-yearold red alder at the Alsea Ranger District of the Siuslaw National Forest and at the OSU Field Laboratory, and 58-year-old red alder at the Cascade Head Experimental Forest. Annual nitrogen fixation was 22.8, 17.5, and 50.1 kg/ha/yr for the Alsea site, OSU Field Laboratory, and Cascade Head, respectively. Red alder showed the potential of substantial nitrogen input into the ecosystem at 2 years and 58 years of age. The second case study assayed nitrogen fixation of three Ceanothus species growing in southwestern Oregon. At the Waters Creek site, 5- to 6-year-old varnishleaf and deerbrush showed similar nitrogen fixing activity. The seasonal pattern of 11-year-old snowbrush at the Windy Creek site was different from that of the other Ceanothus species at the Waters Creek site. Annual nitrogen fixation was 8.3, 0.3, and 69.4 kg/ha/yr for varnishleaf, deerbrush and snowbrush, respectively. Eleven-year-old snowbrush at the Windy Creek site supplied a substantial amount of nitrogen to the ecosystem. Following the attack of California tortoise-shell butterfly, and the subsequent defoliation of snowbrush, annual nitrogen fixation by snowbrush at the Windy Creek site decreased to 34.8 kg/ha/yr. This value was about one half the value for unattacked shrubs. Red alder can be developed as a tool for forest management at an early stage as well as later stages of growth. Ceanothus species can also be used for forest management, especially in dry areas

Acute-on-chronic liver failure

Acute-on-chronic liver failure (ACLF) is an increasingly recognized distinct disease entity encompassing an acute deterioration of liver function in patients with chronic liver disease. Although there are no widely accepted diagnostic criteria for ACLF, the Asia.Pacific Association for the Study of the Liver (APASL) and the American Association for the Study of Liver Disease and the European Association for the Study of the Liver (AASLD/EASL) consensus definitions are commonly used. It is obvious that the APASL and the AASLD/EASL definitions are based on fundamentally different features. Two different definitions in two different parts of the world hamper the comparability of studies. Recently, the EASL-Chronic Liver Failure Consortium proposed new diagnostic criteria for ACLF based on analyses of patients with organ failure. There are areas of uncertainty in defining ACLF, such as heterogeneity of ACLF, ambiguity in qualifying underlying liver disease, argument for infection or sepsis as a precipitating event, etc. Although the exact pathogenesis of ACLF remains to be elucidated, alteration of host response to injury, infection, and unregulated inflammation play important roles. The predisposition, infection/inflammation, response, organ failure (PIRO) concept used for sepsis might be useful in describing the pathophysiology and clinical categories for ACLF. Treatment strategies are limited to organ support but better understanding of the pathophysiology is likely to lead to discovery of novel biomarkers and therapeutic strategies in the future

Short Term Effect and Safety of Antidiuretic Hormone in the Patients with Nocturia

Purpose To investigate the short-term safety of antidiuretic hormone in elderly patients with nocturnal polyuria, focus on hyponatremia and others electrolytes disturbances and to assess short-term effects on nocturnal urine output and number of nocturnal voids. Methods Between June 2005 and August 2006, a total of 34 patients with nocturnal polyuria were orally administered 0.2 mg desmopressin tablet at bedtime for two weeks. Serum sodium, others electrolytes, urine sodium and urine osmolarity were assessed in the third days, one week and two weeks after treatment with desmopressin and compared adult group (<65 years of age) with elderly group (≥65 years of age). We assessed the effect of desmopressin using a frequency-volume charts and analysed. Results In total 34 patients (20 adult, 14 elderly) were analyzed. Desmopressin treatment did not significantly change serum and urine electrolytes include soduim concentration in elderly patients comparied with adult patients. Serum sodium concentration below normal range was recorded in 2 patients in elderly group, but no serious adverse events occurred and recovered without sequelae. The mean number of nocturnal voids decresed (54% reduction) and nocturnal urine output decreased (57% reduction) after using desmopressin. Conclusions Desmopressin was well tolerated and effective in elderly patients with nocturnal polyuria without clinically significant hyponatremia

Nearly 100% Horizontal Dipole Orientation and Upconversion Efficiency in Blue Thermally Activated Delayed Fluorescent Emitters

The relationship between anisotropic orientation and molecular structure of thermally activated delayed fluorescent (TADF)‐based organic light emitting devices (OLEDs) is studied using TADF emitters with carbazole, biscarbazole, and triscarbazole donor units. The bicarbazole and triscarbazole donors are more effective than the carbazole donor in driving the anisotropic orientation of the TADF molecules. A near‐perfect in‐plane orientation of the TADF dipole moment is demonstrated using the triscarbazole donor. In addition, the triscarbazole donor based OLED shows high photoluminescence quantum yield and an upconversion efficiency close to 100%. As a consequence, an external quantum efficiency >30% is obtained.A systematic study correlating donor structure with horizontal dipole orientation of blue triscarbazole thermally activated delayed fluorescent (TADF) emitters shows an exceptionally high horizontal dipole orientation of 95%. The dipole orientation and high photoluminescence quantum yield result in an external quantum efficiency >30% in organic light‐emitting diodes employing these TADF emitters.Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/145231/1/adom201701340.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/145231/2/adom201701340_am.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/145231/3/adom201701340-sup-0001-S1.pd

Recurring gastrointestinal stromal tumor with splenic metastasis

Malignant gastrointestinal stromal tumors (GISTs) are rare non-epithelial, mesenchymal neoplasms of the gastrointestinal tract that metastasize or recur in 30% of patients who undergo surgical resection with curative intent. A 59-year-old man visited our hospital for an examination of a palpable mass in the left abdomen. Fourteen months prior to his visit, the patient underwent gastric wedge resection to remove a GIST of the gastric cardia. At the time of surgery, no evidence of metastatic disease was observed and the pathological interpretation was a high-risk GIST. A follow-up computed tomography scan of the abdomen revealed a partially necrotic solid mass (9.8 × 7.6 cm) and enhancing mass in the spleen (2.3 cm). On exploration, multiple masses were found in the liver, greater omentum, and mesentery. Here, we report a case of recurring GIST of the stomach that metastasized to the spleen. To the best of our knowledge, few reports of metastasis to the spleen exist

Body Mass Index Is Associated with Hypercholesterolemia following Thyroid Hormone Withdrawal in Thyroidectomized Patients

Thyroid hormone withdrawal (THW) for postoperative radioiodine adjuvant therapy or diagnostic radioiodine whole body scan in patients with differentiated thyroid cancers results in acute thyroid hormone deficiency and abnormal lipid profiles. To better clarify the clinical pattern of dyslipidemia occurring after THW, we retrospectively analyzed the association between serum total cholesterol level after THW and various clinical factors in a total of 61 patients who underwent total thyroidectomy due to papillary thyroid cancers from January 2010 to March 2012, in Severance Hospital, Seoul, Korea. Preoperative baseline total cholesterol was significantly correlated with post-THW total cholesterol level; however, age, gender, or elevated TSH level after THW itself was not correlated with post-THW total cholesterol level. A significant correlation between preoperative measured BMI and post-THW total cholesterol level was found ( = 0.263, = 0.041). In multiple logistic analysis, BMI was an independent determining factor of post-THW total cholesterol level ( = 0.012)

Spontaneous Non-Traumatic Stress Fractures in Bilateral Femoral Shafts in a Patient Treated with Bisphosphonates

Bisphosphonates are potent inhibitors of bone resorption and widely used to treat osteoporosis. Extensive studies have shown that therapy with bisphosphonates improves bone density and decreases fracture risk. However, concerns have been raised about potential over-suppression of bone turnover during long-term use of bisphosphonates, resulting in increased susceptibility to and delayed healing of non-spinal fractures. We report a patient who sustained non-traumatic stress fractures in bilateral femoral shafts with delayed healing after long-term bisphosphonate therapy. She underwent open reduction and surgical internal fixation. Although bisphosphonates effectively prevent vertebral fractures, and their safety has been tested in randomized trials, we must emphasize the need for awareness of the possibility that long-term suppression of bone turnover with bisphosphonates may eventually lead to an accumulation of fatigue-induced damage and adverse skeletal effects such as delayed fracture healing